Pale and balding with a skeleton-like appearance, “Doctor” Richard Trager is one of the most disturbing antagonists in Outlast. With glasses, a bloodstained apron and a messed-up surgeon's mask on, he puts this charm to great use when he’s pretending to be a surgeon so he can collect body parts. Insane yet curiously calculating, Trager talks to you rather intelligently and coherently while he mutilates your fingers. Run for your life!

Steps

Part 1

Escaping from the Wheelchair

When Richard Trager is done mutilating your fingers, break free from the cuffs attached to the wheelchair by shaking your mouse violently. Once you’ve broken free, head out the same door that Trager went through.

Part 2

Following the Blood Stains on the Floor

This is quite tricky as your instincts will tell you to make a run for it as fast as you can. You have to be patient, and not let your fear get the better of you. Follow these steps and you’ll be fine.

1

Find the blood trail as soon as you get to the next room. You will see that the blood trail leads out a large door. Ignore it for now, and just head right towards the patient bound to the bed.

2

Wait for the patient to start talking. As soon as the aforementioned patient starts to go crazy, head towards the bed in front of him, and hide under it.

3

Keep still and quiet. Trager will enter the room to kill the patient, after which Trager will go to check on you. Of course, once he realizes you’ve escaped, he will go ballistic.

4

Get out from under the bed after Trager finishes his rant. A good time to leave is when he says, “You can figure this out, let’s solve this.”

5

Head towards the large door to where the blood trail leads. However, don't go through it yet or Trager will surely catch you.

6

Hide under the bed directly in front of the door you came in through. Trager will be checking under the beds. Luckily, he will only check the first two beds near the large door before moving on to the beds near the now-dead patient.

7

Get out through the large door. Leave quickly as soon as Trager goes beyond the barricade that leads back to the dead patient.

8

Close the door, and head towards the left hallway. For as long as Trager doesn’t catch you leaving the room, you're perfectly safe at the moment. Don’t worry.

9

Take a right turn. Doing so will lead you to the elevator.

Part 3

Finding the Elevator Key

Tread lightly, and keep your presence of mind. The ordeal is half over.

1

Ignore the elevator for now. You’ll need a key to use it. Instead, climb onto the bed, and go inside the vent.

2

Crawl through the vent until you’re able to go down. Afterwards, look to your left and move the metal cabinet, but don’t go through the door yet. This will be your escape route later.

3

Turn back and go inside the first door to your left. Make your way to the other end of the room where there will be an open door with light shining through it. Go through this door.

4

Hide under a bed and watch out for Trager. He will be moving in and out of the room, as well as back and forth in the hallway from where you dropped down.

5

Head out the room once you see Trager move down the hallway to your right. He will be going towards the metal cabinet you moved after falling from the vent.

6

Head left once you go through the door. There you will see another metal cabinet which you have to move to go through the door. Remember to close the door after you.

7

Run down to the end of the hallway. You will see a bed at the end of the hallway. Climb onto it, and enter the vent.

8

Crawl through the vent. When you find a hole to go down through, let yourself fall and you will find yourself inside a restroom.

9

Get out and head towards the large door. The room is quite dark so you may want to use your camera.

10

Climb up the window and grab the key. This will be directly northeast of where the door is.

Part 4

Making Your Way Back to the Elevator

Easy does it! You’re almost there. Once you’ve grabbed the key, Trager will appear. Don’t panic and just follow these steps to freedom from him.

1

Head back towards the room with the large door. Once there, hide under a bed to avoid from Trager.

2

Get up from under the bed as soon as Trager walks to the back of the room. Head out the large door, and remember to close it behind you.

3

Climb through the window again. This is the window from where you got the key. Head out the door that is now open, the door next to where the key was hanging.

4

Walk forward until you get through the door. Don’t forget to lock it behind you.

5

Head left and walk towards the end of the hallway. You will see the metal door that leads to the elevator, the same door blocked by the metal cabinet you moved earlier.

6

Go through the door. Close it behind you in case Trager comes searching for you.

7

Get in the elevator, and use the key to escape. You did it! You’ve managed to escape almost intact from the lunatic surgeon-wannabe.